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目的探讨使用聚丙烯缝线对重度先天性上睑下垂行悬吊治疗的有效性和安全性。方法回顾2013年1月至2014年12月于本院治疗的重度先天性上睑下垂儿童,共9例15眼,其中男5例8眼,女4例7眼;单眼3例,双眼6例。年龄3~12岁(5.78±2.64岁)。所有患者使用4-0聚丙烯缝线行上睑悬吊术,术后1周、1月各随访1次,之后每6月随访1次,所有患者随访观察均超过12个月。结果术后1周矫正良好8例14眼(93.3%),基本矫正1例1眼(6.6%),无矫正不足、未矫正及过矫者。未出现明显并发症。所有患儿术后均随访12月以上,1例1眼由矫正良好回退为矫正不足(6.6%)。6个月后,所有患者睑裂闭合不全<2mm,不同程度存在上睑迟滞现象,无出现暴露性角膜炎病例。结论聚丙烯缝线悬吊术可安全有效矫正重度先天性上睑下垂。
Objective To investigate the effectiveness and safety of polypropylene sutures in the treatment of severe congenital ptosis. Methods A retrospective review was conducted on 9 children with severe congenital ptosis who were treated in our hospital from January 2013 to December 2014. Among them, there were 9 eyes with 5 eyes in 8 eyes and 4 eyes in 4 eyes. There were 3 eyes in one eye and 6 eyes in both eyes . Age 3 to 12 years (5.78 ± 2.64 years). All patients underwent upper eyelid suspension with 4-0 polypropylene suture. The patients were followed up 1 week and 1 month after operation, followed up every 6 months. All the patients were followed up for more than 12 months. Results One week after operation, 8 eyes (93.3%) were corrected well in 8 cases and 1 patient (6.6%) was basically corrected in 1 case. There was no correction, no correction and overcorrection. No obvious complication occurred. All children were followed up for more than 12 months, 1 case of 1 eye by the correction of good correction for the lack of correction (6.6%). After 6 months, all patients with palpebral fissure insufficiency <2mm, there is varying degrees of upper lid lag, no cases of exposure to keratitis. Conclusion Polypropylene suture suspension can safely and effectively correct severe congenital blepharoptosis.